Job Description

Benefits:

• 401(k)
• 401(k) matching
• Company parties
• Dental insurance
• Health insurance
• Opportunity for advancement
• Paid time off
• Vision insurance

Position Overview:

We are seeking a detail-oriented and highly analytical Authorization Insurance Verification Coordinator to join our home health agency. In this role, you will be responsible for verifying patient insurance benefits, ensuring benefits are current, and communicating financial responsibilities including copays, deductibles, and any other pertinent information. In this role the ideal candidate will work closely with insurance companies, and patients to verify coverage and secure the necessary approvals to optimize reimbursement and patient satisfaction. This is a fast-paced role requiring excellent communication skills, a strong attention to detail, and the ability to work efficiently in a dynamic environment.

Note: Start date for this position is January, 2027

Key Responsibilities:

• Verify and authorize insurance coverage for home health services for patients.
• Communicate with insurance providers to obtain and confirm benefits, including copays, deductibles, and co-insurance.
• Ensure all patient financial responsibility details are documented and accurately communicated to patients and team members.
• Maintain up-to-date records of verification results in the agency’s system.
• Collaborate with clinical and billing teams to resolve discrepancies and obtain necessary approvals for services.
• Monitor and follow up on outstanding authorizations or denied claims to ensure timely resolution.
• Ensure compliance with company policies, state, and federal regulations regarding insurance and authorization processes.
• Provide clear and concise explanations of insurance coverage to patients and families.
• Handle patient inquiries with professionalism and accuracy.
• Ensure claims and visits are approved for optimal reimbursement.

Qualifications:

· Minimum of 1-2 years in insurance verification, authorization, or a related field, preferably in the healthcare industry.

• Strong understanding of insurance terminology, benefits, and healthcare coverage.
• Excellent analytical skills and attention to detail.
• Ability to work effectively in a fast-paced and demanding environment.
• Strong written and verbal communication skills.
• Proficient in using insurance portals and patient management systems.
• Experience working in a home health agency or similar healthcare setting is preferred.
• Ability to multitask and prioritize effectively in a busy environment.
• Experience or knowledge of Availity and KanTime a plus.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

About Us

Working Nurses Home Care is a Medicare Certified Healthcare company that provides quality care in the comfort of the home. Our services can help prevent re-hospitalization, postpone institutionalization, and reduce the need for urgent care. Our professional Nurses can help with wound care, fall injury prevention, medication management, post-surgical care, and so much more!